scholarly journals Identification of risk groups for oropharyngeal dysphagia in hospitalized patients in a university hospital

CoDAS ◽  
2014 ◽  
Vol 26 (1) ◽  
pp. 17-27 ◽  
Author(s):  
Daiane Bassi ◽  
Ana Maria Furkim ◽  
Cristiane Alves Silva ◽  
Mara Sérgia Pacheco Honório Coelho ◽  
Maria Rita Pimenta Rolim ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Obstructive Pulmonary Disease ◽  
Oropharyngeal Dysphagia ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Risk Groups ◽  
Hospitalized Patients ◽  
University Hospital ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

Purpose: To identify risk groups for oropharyngeal dysphagia in hospitalized patients in a university hospital. Methods: The study was design as an exploratory cross-sectional with quantitative data analysis. The researched population consisted of 32 patients admitted to the medical clinic at the university hospital. Patient history data were collected, followed by a universal swallowing screening which included functional feeding assessment, to observe clinical signs and symptoms of dysphagia, and assessment of nutritional status through anthropometric data and laboratory tests. Results: Of the total sample, the majority of patients was male over 60 years. The most common comorbidities related to patients with signs and symptoms of dysphagia were chronic obstructive pulmonary disease, systemic arterial hypertension, congestive heart failure, diabetes mellitus and acute myocardial infarction. The food consistency that showed higher presence of clinical signs of aspiration was pudding and the predominant sign was wet voice. Conclusion: There is a high incidence of risk for oropharyngeal dysphagia in hospitalized patients and an even higher rate of hospitalized patients with nutritional deficits or already malnourished. Hospitalized patients with respiratory diseases, chronic obstructive pulmonary disease, congestive heart failure and patients with xerostomia were indicated as risk group for oropharyngeal dysphagia.

Distribution of body water in hospitalized patients with Chronic Obstructive Pulmonary Disease and Right Heart Failure

2019 ◽  
Author(s):  
Alan Aldair Ibarra Fernández ◽  
Dulce González Islas ◽  
Arturo Orea Tejeda ◽  
Fernanda Salgado Fernández ◽  
Angelia Jiménez Valetín ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Right Heart Failure ◽  
Hospitalized Patients ◽  
Body Water ◽  
Chronic Obstructive ◽  
Right Heart ◽  
Obstructive Pulmonary Disease

scholarly journals Predictors of Increased Daytime Sleepiness in Patients with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Claudia Enz ◽  
Stefanie Brighenti-Zogg ◽  
Esther Helen Steveling-Klein ◽  
Selina Dürr ◽  
Sabrina Maier ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Energy Expenditure ◽  
Pulmonary Disease ◽  
Daytime Sleepiness ◽  
Risk Group ◽  
Risk Groups ◽  
University Hospital ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients

Background. Patients with Chronic Obstructive Pulmonary Disease (COPD) suffer from increased daytime sleepiness. The aim of this study was to identify potential predictors of subjective daytime sleepiness with special regard to sleep-related breathing disorder and nocturnal activity.Methods. COPD patients were recruited at the University Hospital Basel, Switzerland. COPD risk groups A–D were determined according to spirometry and COPD Assessment Test (CAT). Breathing disorder evaluation was performed with the ApneaLink device. Nocturnal energy expenditure was measured with the SenseWear Mini Armband. Subjective daytime sleepiness was recorded using the Epworth Sleepiness Scale (ESS).Results. Twenty-two patients (36%) were in COPD risk group A, 28 patients (45%) in risk group B, and 12 patients (19%) in risk groups C + D (n=62). Eleven patients (18%) had a pathological ESS ≥ 10/24. ESS correlated positively with CAT (r=0.386,p<0.01) and inversely with age (r=-0.347,p<0.01). In multiple linear regression age (β=-0.254,p<0.05), AHI (β=0.287,p<0.05) and CAT score (β=0.380,p<0.01) were independent predictors of ESS, while nocturnal energy expenditure showed no significant association (p=0.619).Conclusion. These findings provide evidence that daytime sleepiness in COPD patients may partly be attributable to nocturnal respiratory disturbances and it seems to mostly affect younger patients with more severe COPD symptoms.

Advance care planning in chronic disease: finding the known in the midst of the unknown

2018 ◽  
Author(s):  
Karen Detering ◽  
Elizabeth Sutton ◽  
Scott Fraser
Keyword(s):  
Heart Failure ◽  
Chronic Obstructive Pulmonary Disease ◽  
Advance Care Planning ◽  
Chronic Obstructive ◽  
Care Planning ◽  
Health Care Teams ◽  
Management Options ◽  
Medical Decisions ◽  
Obstructive Pulmonary Disease ◽  
Advance Care

People are living longer lives with a greater burden of disease. Diseases which contribute significantly to this burden are chronic kidney disease; chronic obstructive pulmonary disease and heart failure. Technologies exist that can sustain life for patients with these disease, however patients and their families/loved ones need to know the likely outcome of their disease, its course, and all management options. Advance care planning (ACP) can assist with this process as well as ensuring that patients, families, and health care teams are aware of what treatment a patient wants—or does not want. ACP also enables the appointment of a decision maker to act on behalf of the patient should they lose capacity to make medical decisions. This chapter discusses the benefits of ACP and why it needs to be introduced early in the course of any life-limiting illness.

Sign in / Sign up

Export Citation Format

Share Document